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Mycobacterium tuberculosis Versus Micobactéria Não tuberculosa no mesmo Doente: Relato de Caso
Mycobacterium tuberculosis Versus Nontuberculous Mycobacteria in the same Patient: Case Report
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Ana Luísa Barroso [anab_119@hotmail.com]
Medicina Geral e Familiar,Unidade Local de Saúde Tâmega e Sousa, Unidade de Saúde Familiar Nova Lousada, Lousada, Portugal
Av. Major Arrochela Lobo. Silvares | 4620-697 Lousada
Abstract
Tuberculosis, caused by Mycobacterium tuberculosis (MTB), is an infectious disease that can affect multiple organs. In contrast, nontuberculous Mycobacterium (NTM) cause rarer infections. The described case is significant as it involves infections by both bacteria in the same patient. The patient is a 59-year-old man who underwent an orchiectomy in 2021. Histological analysis revealed granulomatous inflammation, initially negative for Koch's bacillus. The hypothesis of genitourinary tuberculosis was considered but quickly ruled out due to the identification of NTM, although the specific species was not defined. In 2022, the patient was hospitalized with a tuberculosis diagnosis. This case is rare, as there is no strong evidence of an association between NTM and MTB infections, thus ruling out a causal relationship. The possibility of a diagnostic error in the initial occurrence is raised. The case prompts several questions that require further investigation
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